International Journal of Circumpolar Health最新文献_第2页

Pattern of illness and injury of an Antarctic scientific expedition: retrospective cohort study aboard Rv Xue Long 2. 南极科学考察的疾病和损伤模式：雪龙2号船上的回顾性队列研究。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2026-12-31 Epub Date: 2026-04-03 DOI: 10.1080/22423982.2026.2653359

Ning Li, Zhimin Xiao, Pengtao Zhu, Peinan Jia, Kai Yang, Haowei Li

{"title":"Pattern of illness and injury of an Antarctic scientific expedition: retrospective cohort study aboard Rv Xue Long 2.","authors":"Ning Li, Zhimin Xiao, Pengtao Zhu, Peinan Jia, Kai Yang, Haowei Li","doi":"10.1080/22423982.2026.2653359","DOIUrl":"10.1080/22423982.2026.2653359","url":null,"abstract":"Antarctic scientific expeditions operate under extreme environmental constraints with severely limited medical evacuation capabilities, yet epidemiological data on expedition personnel remain sparse. This study aims to characterise the disease spectrum and healthcare utilisation patterns during a 208-day Antarctic scientific expedition aboard RV Xue Long 2 and provide evidence-based support for polar healthcare. Retrospective analysis of 586 medical consultations (632 diagnoses) from 206 expedition members aboard RV Xue Long 2 (November 2024-May 2025). Primary diagnoses and affected systems were categorised according to the International Classification of Diseases, 10th Revision (ICD-10). Among 206 personnel (mean age 37.9 ± 9.0 years; 89.8% male), 144 individuals (69.9%) yielded 586 consultation records. Among these individuals, 79.1% required ≤4 visits. Consultations peaked initially (129 encounters/month) after departure. No emergency medical evacuations occurred. Acute upper respiratory infection (12.7%), dermatitis (5.9%) and muscle strain (5.1%) were the predominant diagnoses. Systemically, respiratory (18.0%), digestive (16.6%) and dermatological diseases (15.2%) predominated. Motion sickness and trauma incidence remained modest. The polysystemic morbidity profile reflects the dual stressors of prolonged oceanic isolation and extreme polar environments. These findings mandate expedition-specific medical protocols, mandatory pre-deployment health screening and comprehensive cross-training for shipboard physicians to optimise remote polar healthcare delivery.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2653359"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147616186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sustaining nursing practice in Greenland: insights from a positive deviance study on motivation, resilience, and holistic care in arctic healthcare. 格陵兰岛的持续护理实践：从北极医疗保健的动机，弹性和整体护理的积极偏差研究的见解。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2026-12-31 Epub Date: 2026-10-17 DOI: 10.1080/22423982.2026.2742592

Carsten Juul Jensen, Anna Kleist Egede, Louise Lennert Olsen, Lene Seibæk

{"title":"Sustaining nursing practice in Greenland: insights from a positive deviance study on motivation, resilience, and holistic care in arctic healthcare.","authors":"Carsten Juul Jensen, Anna Kleist Egede, Louise Lennert Olsen, Lene Seibæk","doi":"10.1080/22423982.2026.2742592","DOIUrl":"10.1080/22423982.2026.2742592","url":null,"abstract":"Health disparities in the Arctic remain substantial, with Inuit populations experiencing shorter life expectancy and higher morbidity than global averages. Nurse shortage exacerbates these challenges, and Greenland continues to rely on nurses from other countries. Despite these constraints, health outcomes have improved over time, including increased life expectancy, enhanced diabetes care, and better child growth indicators. To sustain professional well-being and retention in the Greenlandic nursing workforce, this study explores how nurses deliver high-quality care under constrained conditions, and what motivates them to remain in healthcare using a positive deviance framework. Ethnographic fieldwork was conducted across five Greenland regions, involving participant observations and interviews with nurses and students across professional roles. Across backgrounds and seniority, nurses demonstrated a shared passion for their work, with patient encounters central to practice. Resilient communities, shaped through collaboration and humour, supported creative problem-solving and a strong sense of responsibility, extending from individual patients to healthcare and society. Nurses sustain their practice through patient-centred values, community resilience, improvisational competencies, and commitment to societal well-being. Using a positive deviance perspective, insights from effective nursing practices can inform nursing education and Arctic healthcare, improving patient care, job satisfaction, staff retention, and long-term cost efficiency.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2742592"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13686202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149215788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cheko Gǫįtì (gift of the child): discerning maternal services, policies and influences during tumultuous times in the Northwest Territories, Canada (2018 to 2024). Cheko Gǫįtì（孩子的礼物）：在加拿大西北地区动荡时期（2018年至2024年），辨别产妇服务、政策和影响。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2026-12-31 Epub Date: 2026-02-03 DOI: 10.1080/22423982.2026.2618331

Pertice Moffitt, Rosa Mantla, Janat Ibrahimi, Katherine Whitecloud, Kellie Thiessen

引用次数: 0

Othering and Belonging. 他人与归属感。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2026-12-31 Epub Date: 2026-04-02 DOI: 10.1080/22423982.2026.2650965

Ruth Montgomery-Andersen

引用次数: 0

Asthma among Sámi in Sweden: a population-based register study. 瑞典Sámi哮喘患者：一项基于人群的登记研究

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2026-12-31 Epub Date: 2026-06-18 DOI: 10.1080/22423982.2026.2689798

Miguel San Sebastian, Emil Xabier San Sebastián, Jon Petter Stoor

{"title":"Asthma among Sámi in Sweden: a population-based register study.","authors":"Miguel San Sebastian, Emil Xabier San Sebastián, Jon Petter Stoor","doi":"10.1080/22423982.2026.2689798","DOIUrl":"10.1080/22423982.2026.2689798","url":null,"abstract":"A population-based study has reported a higher prevalence of self-reported asthma among the Sámi compared with the general Swedish population. However, it remains unclear whether this reflects a true difference or reporting bias. This study aimed to estimate asthma incidence among the Sámi and compare it with that of the non-Sámi population using register-based data from 1993 to 2018. We conducted a retrospective cohort study using the Sámi electoral roll and the reindeer ownership register to identify Sámi individuals. Each Sámi participant was matched with four non-Sámi controls by age, sex and municipality. Asthma cases were identified through the National Patient Register, covering inpatient and specialist outpatient care. Incidence rate ratios (IRRs) were estimated using sex-stratified Poisson regression models. The study included 13,311 Sámi individuals and 53,219 controls. Sámi men (IRR = 1.19, 95% CI = 1.00-1.41) and women (IRR = 1.23, 95% CI = 1.04-1.45) had higher rates of specialist asthma diagnoses than controls. Sámi men, but not women, also had a higher risk of asthma-related hospitalisation (IRR = 1.43, 95% CI = 1.07-1.90). These findings suggest a higher asthma burden among the Sámi. Further research is needed to clarify underlying risk factors and inform targeted public health interventions.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2689798"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13288535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148271350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Learning from Inuit perspectives on timimut ikajuqsivik/rehabilitation services for children. 学习因纽特人对儿童康复服务的看法。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2026-12-31 Epub Date: 2026-07-06 DOI: 10.1080/22423982.2026.2684108

Janna MacLachlan, Leetia Janes, Andrea Andersen, Earl Nowgesic, Stephanie A Nixon

{"title":"Learning from Inuit perspectives on timimut ikajuqsivik/rehabilitation services for children.","authors":"Janna MacLachlan, Leetia Janes, Andrea Andersen, Earl Nowgesic, Stephanie A Nixon","doi":"10.1080/22423982.2026.2684108","DOIUrl":"10.1080/22423982.2026.2684108","url":null,"abstract":"The practice approaches and evidence base of timimut ikajuqtiit/rehabilitation professionals working with children are primarily informed by Eurocentric norms and values. Such approaches may not meet the needs of Inuit who have infrequently been engaged in informing the delivery of timimut ikajuqsivik/rehabilitation services. A lack of engagement of Inuit knowledge and perspectives blocks opportunities for culturally safe service delivery and Inuit self-determination. This research sought to illuminate knowledge on how the timimut ikajuqsivik interests of Inuit children in the Qikiqtani Region of Nunavut can be understood and supported by foregrounding Inuit perspectives. This qualitative inquiry followed the Piliriqatigiinniq Partnership Model for Community Health Research and was supported by a critical decolonizing lens. Twenty-five participants engaged in individual or group storytelling sessions. Analysis involved a holistic synthesis of data and a participatory process. Five Inuit knowledge concepts were identified to guide timimut ikajuqsivik: [Formula: see text] (tunnganarniq), [Formula: see text] (inuuqatigiitsiarniq), [Formula: see text] (katujiqatigiinniq), [Formula: see text] (naalagiursaniq) and [Formula: see text] [Formula: see text] (sivumuaqatigiigniq saimmaqatigiinnikkut). We argue for contextually relevant practices, encouraging timimut ikajuqsivik/rehabilitation services to align with the knowledge systems, needs and guidance of local contexts. We draw attention to the importance of this alignment for redressing the impacts of systems of inequity such as colonialism.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2684108"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148396695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Children and young people assessed by ambulance clinicians in a sparsely populated circumpolar region: non-conveyance and subsequent healthcare contacts in Northern Sweden. 在人口稀少的极地地区，救护车临床医生评估的儿童和年轻人：瑞典北部的非运输和随后的医疗保健接触。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2026-12-31 Epub Date: 2026-09-04 DOI: 10.1080/22423982.2026.2727714

Johan Sparrevik, Åsa Engström, Ulrica Strömbäck, Rose-Marie Isaksson, Veronica Lindström

{"title":"Children and young people assessed by ambulance clinicians in a sparsely populated circumpolar region: non-conveyance and subsequent healthcare contacts in Northern Sweden.","authors":"Johan Sparrevik, Åsa Engström, Ulrica Strömbäck, Rose-Marie Isaksson, Veronica Lindström","doi":"10.1080/22423982.2026.2727714","DOIUrl":"10.1080/22423982.2026.2727714","url":null,"abstract":"Ambulance services in sparsely populated circumpolar regions operate over large distances with limited access to alternative care, potentially expanding their role beyond transport to assessment, decision-making, and healthcare navigation. In such settings, conveyance decisions involving children and young people (CYP) may be complex for ambulance clinicians. This retrospective study examined factors associated with non-conveyance and subsequent healthcare contacts among CYP assessed by ambulance clinicians in northern Sweden and compared characteristics of conveyed and non-conveyed patients. Assessments of patients aged 0-17 during 2020-2023 were included. Logistic regression identified factors associated with non-conveyance, and unscheduled healthcare contacts within 72 hours were examined. Non-conveyance occurred in 39% of assignments. Non-conveyed patients were younger and more often assessed for respiratory conditions and infections, whereas conveyed patients more commonly presented with trauma and neurological conditions. Younger age, assignments outside office hours, and rural location were associated with non-conveyance. One quarter of non-conveyed patients had an unscheduled healthcare contact within 72 hours. The findings suggest that non-conveyance is part of a broader healthcare pathway rather than solely the end of an ambulance assignment. Child-specific guidance for assessment, referral, and follow-up, alongside strengthened decision support for ambulance clinicians, may contribute to safe non-conveyance decision-making in remote regions.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2727714"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13552293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of coronavirus disease 2019 (COVID-19) original vaccines to prevent COVID-19-related hospitalisations among Alaska Native peoples, January 2021-October 2022. 2021年1月至2022年10月，预防阿拉斯加原住民因COVID-19相关疾病住院的原疫苗有效性

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2026-12-31 Epub Date: 2026-08-22 DOI: 10.1080/22423982.2026.2706888

Ian Blake, Rosalyn Singleton, Dana Bruden, Jacob Gray, Marc Fischer, James Keck

{"title":"Effectiveness of coronavirus disease 2019 (COVID-19) original vaccines to prevent COVID-19-related hospitalisations among Alaska Native peoples, January 2021-October 2022.","authors":"Ian Blake, Rosalyn Singleton, Dana Bruden, Jacob Gray, Marc Fischer, James Keck","doi":"10.1080/22423982.2026.2706888","DOIUrl":"10.1080/22423982.2026.2706888","url":null,"abstract":"American Indian/Alaska Native (AI/AN) peoples experienced some of the highest rates of coronavirus disease 2019 (COVID-19) disease in the United States. However, there are limited data on COVID-19 vaccine effectiveness in this population. We performed a test-negative case‒control study using electronic health record data to evaluate the effectiveness of the original three FDA-authorised vaccines to prevent COVID-19-associated hospitalisations among AI/AN adults during 2021-2022. COVID-19 vaccines were effective in preventing COVID-19-associated hospitalisation, intensive care unit admission, mechanical ventilation and death in this population. However, vaccine effectiveness waned over time and during the post-Omicron variant time period. Booster vaccination proved effective during a period when the Omicron variant was circulating. Waning effectiveness with time and the introduction of new variants supports the need to stay up-to-date with SARS-CoV-2 vaccination. Evaluating vaccine effectiveness using electronic health records proved to be a useful tool during a pandemic.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2706888"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13501746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Living with addiction in the shadow of punishment: a qualitative study of prison drug use and harm reduction in Iceland. 在惩罚的阴影下与毒瘾共存：冰岛监狱吸毒和减少危害的定性研究。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2026-12-31 Epub Date: 2026-10-09 DOI: 10.1080/22423982.2026.2741750

Margrét Dís Yeoman, Helga Sif Fridjónsdóttir, Marianne Elisabeth Klinke

{"title":"Living with addiction in the shadow of punishment: a qualitative study of prison drug use and harm reduction in Iceland.","authors":"Margrét Dís Yeoman, Helga Sif Fridjónsdóttir, Marianne Elisabeth Klinke","doi":"10.1080/22423982.2026.2741750","DOIUrl":"10.1080/22423982.2026.2741750","url":null,"abstract":"This qualitative study explored how people with experience of imprisonment and injecting drug use in Iceland understand drug-related harm in prison and the role of harm reduction. It adds qualitative evidence from a small prison system where social proximity, limited anonymity and concerns about trust and confidentiality shape understandings of harm, safety and support. Six participants aged 25-35 were interviewed, and the data were analysed thematically within an interpretive description framework. Participants described prison drug use as continuing dependence under hidden, unsafe and degrading conditions. Four themes were identified: (a) You always find a way; (b) Pushed into hiding; (c) Deepened suffering and shame; and (d) Seeking safety under surveillance. Together, these form the overarching interpretation, \"Living with addiction in the shadow of punishment\". Harm reduction went beyond access to sterile equipment. It was seen as humane, health-oriented care that could reduce injury and preserve dignity. The findings suggest that unmet harm reduction needs in prison may increase risk by pushing drug use further into secrecy and distancing people from care. In Iceland, where prisons are few, social worlds overlap and anonymity is limited, participants identified trust, confidentiality and independence from punitive authority as key conditions for harm reduction.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2741750"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13656654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Translating and testing feasibility and reliability of the Clinical Frailty Scale for assessing older adults in Greenland. 翻译和测试临床虚弱量表在格陵兰评估老年人的可行性和可靠性。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2026-12-31 Epub Date: 2026-02-17 DOI: 10.1080/22423982.2026.2631820

Cecilie Helmer Fricke, Pipaluk Geisler, Inuuteq Fleischer, Mogens Laursen, Gertrud Dam-Dalgeir, Stig Andersen

{"title":"Translating and testing feasibility and reliability of the Clinical Frailty Scale for assessing older adults in Greenland.","authors":"Cecilie Helmer Fricke, Pipaluk Geisler, Inuuteq Fleischer, Mogens Laursen, Gertrud Dam-Dalgeir, Stig Andersen","doi":"10.1080/22423982.2026.2631820","DOIUrl":"10.1080/22423982.2026.2631820","url":null,"abstract":"The global population is ageing, contributing to an increase in frailty and increasing pressure on healthcare and rehabilitation systems. The Clinical Frailty Scale (CFS) may be used as a triage tool to guide important clinical decisions and to set goals for care. This study aimed to translate and test the inter-rater reliability and feasibility of CFS for Greenland (CFS-GL), including its relation to demographic factors. CFS-GL was developed under The International Society for Pharmacoeconomics and Outcomes Research guidelines (ISPOR) to ensure conceptual, cultural and linguistic equivalence with translation. The inter-rater reliability was tested using two independent Greenlandic healthcare professionals and a Danish healthcare professional. The data were evaluated using Cohen's kappa and ANOVA. CFS-GL was assessed among 169 participants with a median age of 73 years (interquartile range [IQR] 14). The participants' residences were scattered across Greenland. Inter-rater reliability was very high, with a combined Cohen's kappa of 0.98 (95% CI 0.97-0.99). The median CFS-GL score was 3.9. CFS-GL was associated with residential living, marital status, alcohol intake, outdoor activity, number of medications taken and chronic diseases but was only moderately associated with age. In conclusion, CFS-GL is now available and reliable for Greenland. Future contextual adaptations could improve CFS-GL by detailing Greenlandic activities.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2631820"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12918354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146213227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0